Individual
LIBERTY M OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6115 44TH AVE NW, GIG HARBOR, WA 98335-7140
(253) 851-7093
Mailing address
6115 44TH AVE. NW, GIG HARBOR, WA 98335
(253) 851-7093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00000921
WA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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